Status and Degree of Dysphagia in the Elderly-A Comparison Study of Long-Term Care Elderly People in an Outpatient Clinic

2003 ◽  
Vol 54 (4) ◽  
pp. 277-284 ◽  
Author(s):  
Masanori Komatsu ◽  
Kayoko Hirata ◽  
Idumi Mochimatsu ◽  
Kazuo Matsui ◽  
Hajime Hirose ◽  
...  
Keyword(s):  
Elderly People ◽  
Outpatient Clinic ◽  
Long Term Care ◽  
The Elderly ◽  
Comparison Study ◽  
Term Care

A Multi-State Model of Disability for the United Kingdom: Implications for Future Need for Long-Term Care for the Elderly

2002 ◽  
Vol 8 (2) ◽  
pp. 341-393 ◽  
Author(s):  
B.D. Rickayzen ◽  
D.E.P. Walsh
Keyword(s):  
United Kingdom ◽  
Elderly People ◽  
Long Term Care ◽  
The Elderly ◽  
State Model ◽  
Rate Data ◽  
Term Care ◽  
Care For The Elderly ◽  
The United Kingdom

ABSTRACTThis paper develops a multiple state model to project the number of people with disabilities in the United Kingdom over the next 35 years, thereby identifying implications for demand for long-term care for the elderly in the future.The model requires three types of data: prevalence rate data, transition rate data and trends data. Recent trends in healthy life expectancy data are used to frame the assumptions made regarding changes in the disability rates of the U.K. population in the future.Although there will be a large increase in the number of elderly people in the U.K. over the next 35 years, the projections suggest that the implications for the number of elderly people requiring long-term care could be ameliorated by a reduction in the proportion of older people who are severely disabled.

A Case Control Study of the Risks for Institutionalization of Elderly People in Nova Scotia

1994 ◽  
Vol 13 (1) ◽  
pp. 104-117 ◽  
Author(s):  
Katherine Glazebrook ◽  
Kenneth Rockwood ◽  
Paul Stolee ◽  
John Fisk ◽  
J. M. Gray
Keyword(s):  
Nova Scotia ◽  
Elderly People ◽  
Functional Impairment ◽  
Long Term Care ◽  
Case Control Study ◽  
The Elderly ◽  
Case Control ◽  
Term Care ◽  
Control Study

ABSTRACTFew studies of the risks of institutionalization of the elderly have had fully specified models using multivariate analysis, and several studies have examined highly selected populations, making their generalizability uncertain. We set out to examine the risks of institutionalization in elderly people in Nova Scotia. A case-control study, executed as part of the Canadian Study of Health and Aging examined 108 incident institutional cases and 533 community-dwelling elderly controls, using a standardized assessment interview conducted by trained interviewers. Multiple logistic regression analysis showed that advancing age, presence of dementia, functional impairment, poor self-rated health, recent hospital admission, and absence of a caregiver were important risks for entry into long term care. Institutions providing long-term care for the elderly need to be able to look after populations with a high prevalence of dementia and functional impairment.

scholarly journals Relocation experiences of the elderly to a long-term care facility in Taiwan: a qualitative study

2019 ◽  
Author(s):  
Chia-Shan Wu ◽  
Jiin-Ru Rong
Keyword(s):  
Qualitative Study ◽  
Elderly People ◽  
Long Term Care ◽  
Care Facility ◽  
The Elderly ◽  
Living Environment ◽  
Theory Approach ◽  
Major Life ◽  
Term Care

Abstract Background Relocation to a long-term care (LTC) facility is a major life change for most elderly people. Following relocation, many elderly experience difficulties in adapting to changes in the living environment. Taiwan is increasingly becoming an "aging society” and the numbers of those who relocate from family residences to long-term residential care facilities have increased over years. However, in-depth evidence on the experiences of the elderly of their stay in LTC facilities in Taiwan is relatively sparse. This study aimed to explore the relocation experiences of the elderly to a LTC facility to inform policy and practice to address their needs effectively. Methods A qualitative study, using semi-structured in-depth interviews, was conducted to explore the experiences of 16 elderly people who have relocated to and lived in a LTC facility in Taiwan for up to a period of 12 months. All interviews were recorded, transcribed, and analyzed using grounded theory approach. Results Participants’ accounts reflected four interrelated key themes: wish to minimize the burden, but stay connected with the family; perceived barriers to adaptation; valuing tailored care; and acceptance and engagement. Each theme included interrelated subthemes that influenced one another and represented the different stages in the relocation journey. Most participants viewed relocation as a way of minimizing the burden of their care from family members, but desired to keep a close connection with family and friends. Participants recounted experiences of psychological resistance while making the decision to relocate. Fear of losing autonomy and the ability to perform self-care was a major reason for resistance to adapt. Provision of tailored care was accorded much value by the participants. The decision to accept the relocation and to adapt themselves to the new environment due to their needs for constant care was explicit in some accounts. Conclusions Relocation to LTC facility is a dynamic process in the first year of moving into the facility, and involves a range of emotions, feelings and experiences. Adaptation of the elderly into the LTC facility can be maximized if the relocation is well planned with provisions for individually tailored care and family involvement.

scholarly journals Relocation experiences of the elderly to a long-term care facility in Taiwan: a qualitative study

2020 ◽  
Author(s):  
Chia-Shan Wu ◽  
Jiin-Ru Rong
Keyword(s):  
Qualitative Study ◽  
Elderly People ◽  
Long Term Care ◽  
Care Facility ◽  
The Elderly ◽  
Living Environment ◽  
Theory Approach ◽  
Major Life ◽  
Term Care

Abstract Background Relocation to a long-term care (LTC) facility is a major life change for most elderly people. Following relocation, many elderly experience difficulties in adapting to changes in the living environment. Taiwan is increasingly becoming an "aging society” and the numbers of those who relocate from family residences to long-term residential care facilities have increased over years. However, in-depth evidence on the experiences of the elderly of their stay in LTC facilities in Taiwan is relatively sparse. This study aimed to explore the relocation experiences of the elderly to a LTC facility to inform policy and practice to address their needs effectively. Methods A qualitative study, using semi-structured in-depth interviews, was conducted to explore the experiences of 16 elderly people who have relocated to and lived in a LTC facility in Taiwan for up to a period of 12 months. All interviews were recorded, transcribed, and analyzed using grounded theory approach.Results Participants’ accounts reflected four interrelated key themes: wish to minimize the burden, but stay connected with the family; perceived barriers to adaptation; valuing tailored care; and acceptance and engagement. Each theme included interrelated subthemes that influenced one another and represented the different stages in the relocation journey. Most participants viewed relocation as a way of minimizing the burden of their care from family members, but desired to keep a close connection with family and friends. Participants recounted experiences of psychological resistance while making the decision to relocate. Fear of losing autonomy and the ability to perform self-care was a major reason for resistance to adapt. Provision of tailored care was accorded much value by the participants. The decision to accept the relocation and to adapt themselves to the new environment due to their needs for constant care was explicit in some accounts. Conclusions Relocation to LTC facility is a dynamic process in the first year of moving into the facility, and involves a range of emotions, feelings and experiences. Adaptation of the elderly into the LTC facility can be maximized if the relocation is well planned with provisions for individually tailored care and family involvement.

scholarly journals Long-term care of the elderly: Current status, policies and dilemmas

Stanovnistvo ◽  
2012 ◽  
Vol 50 (1) ◽  
pp. 1-18 ◽  
Author(s):  
Gordana Matkovic
Keyword(s):  
Home Care ◽  
Elderly People ◽  
Long Term Care ◽  
The Elderly ◽  
Elderly Persons ◽  
Community Based ◽  
Term Care ◽  
Cash Benefits ◽  
The Government

In Serbia, the long-term care as a system does not actually exist. One part of the system is regulated through cash benefits, one part through institutional social care and community-based social services, and one part is just being established under the health care system. The linkages among these segments are not strong and there is insufficient awareness of the need to regard the different parts of the system as being interdependent and interconnected. According to the different surveys, home care is needed for the daily functioning of more than 80,000 elderly people, especially for around 27,000 of those who are completely immobile. More than 300 thousand elderly persons have indicated that they are in need of some type of self-care support. By tradition, elderly people in Serbia rely primarily on family support. Some are getting the state support as well. Research shows that 62 thousand elderly persons (5 percent) receive attendance allowance; 9,000 elderly are accommodated in institutions (0.7 percent), while 11.7 thousand (1 percent) persons received some type of support through home care community based services. In addition, in Belgrade there are also 2,000 elderly who are beneficiaries of medical and palliative care at home. The government expenditures for these purposes can be very roughly estimated at 0.55 percent of GDP, largely for cash benefits (0.37 percent). Considered over a medium and longer term, the government expenditures on longterm care in Serbia will inevitably increase significantly, primarily due to an increase in the number and share of elderly people and the increase in additional life years spent in ill health or in need of assistance. An increase in the expenditures will also be influenced by a change in the family models and the increasing number of elderly that will be living alone, as well as the diminishing possibilities for reliance on the closest family members, especially due to emigration flows both at local and national levels. Finally, it is important not to neglect the effect of emulating more developed countries, as well as the EU?s pressure to adequately respond to the needs of the elderly. Therefore, the state and society must promptly prepare a systematic, comprehensive, timely and fiscally responsible response. This response must recognize the capacities of all stakeholders, from family to state and non-state and match the capacities with the appropriate roles in the system of long-term care provision.

scholarly journals Factors associated with the institutionalization of the elderly: a case-control study

2016 ◽  
Vol 19 (6) ◽  
pp. 1004-1014 ◽  
Author(s):  
Ezequiel Vitório Lini ◽  
Marilene Rodrigues Portella ◽  
Marlene Doring
Keyword(s):  
Cognitive Impairment ◽  
Elderly People ◽  
Daily Living ◽  
Long Term Care ◽  
The Elderly ◽  
Case Control ◽  
Term Care ◽  
Factors Associated ◽  
Care Facilities

Abstract Objective: to identify the factors associated with the institutionalization of the elderly. Method: a case-control, population-based study was performed with 387 elderly people. The study considered cases of elderly people (n=191) living in long-term care facilities, and a control group (n=196) who lived in homes in urban areas of the city. Both groups were identified from the records of the Family Health Strategy and were randomly selected. Institutionalization was considered a dependent variable, and sociodemographics, clinical factors, functional status, and cognitive impairment were considered independent variables. Comparison between groups was analyzed using the Chi-squared and Pearson tests and the logistic regression model was used in adjusted analysis, with measurements of effect expressed as odds ratio with a 95% confidence interval. Variables with p≤0.20 were considered for entry in the multiple model. Results: variables that remained associated with institutionalization in multiple analysis were: not having a partner (OR=9.7), not having children (OR=4.0), presenting cognitive impairment (OR=11.4), and depending on others to perform basic activities of daily living (OR=10.9). Conclusion: cognitive impairment and dependency for basic activities of daily living were more strongly associated with institutionalization. Home care strategies and preventive actions for risk factors should be stimulated to delay the referral of elderly people to Long Term Care Facilities for the Elderly, and to develop strategies that allow the elderly to remain socially active.

Social interactions in long-term care

2022 ◽  
pp. 919-927
Author(s):  
И.А. Григорьева ◽  
Г.В. Колосова
Keyword(s):  
Elderly People ◽  
Social Services ◽  
Long Term Care ◽  
Elderly Person ◽  
Modern Society ◽  
The Elderly ◽  
The State ◽  
Term Care ◽  
Care For The Elderly

Современное общество становится все более сложным, меняются не только технологии, но и его социально-возрастная структура. Человечество впервые столкнулось с ситуацией, когда пожилых больше, чем молодежи, и оказалось к этому не готово. Возникает новая задача - согласование взаимодействий и интересов множества субъектов социального взаимодействия в интересах пожилых. Традиционных управленческих воздействий государства становится недостаточно, постепенно складываются механизмы самоорганизации общества и автономности граждан. Новой проблемой стало не только быстрое старение общества, но и увеличение числа пожилых, требующих постоянного ухода в последние годы жизни. Уже сложившиеся «закрытые институты» - дома престарелых - сегодня все менее популярны у населения. В статье предложен обзор российского законодательства о долговременном уходе за пожилыми, а также анализ успехов и барьеров взаимодействия в организации ухода государства, коммерческих и некоммерческих учреждений в Санкт-Петербурге - городе пожилого населения и развитого социального обслуживания пожилых. Поэтому мы вправе сделать вывод, что социальное обслуживание в Петербурге может рассматриваться как перспективная модель развития долговременного ухода за пожилыми. Цель статьи - анализ особенности взаимодействий различных субъектов складывающейся в Петербурге системы долговременного ухода за пожилыми. Нас интересуют ситуации, когда имеющихся правовых норм/регулирования/вмешательства во взаимодействия достаточно, чтобы задачи ухода решались, а участники не страдали, и наоборот - когда имеющихся регулятивов недостаточно и либо задачи не решаются, либо потерпевшей стороной оказывается пожилой человек или его семья. Modern society is becoming more and more complex, not only technologies are changing, but also its socio-age structure. For the first time, mankind found itself in a situation where there are more elderly people than young people, and it turned out to be not ready for this. A new task arises - the coordination of interactions and interests of many subjects of social interaction in the interests of the elderly. The traditional administrative influences of the state are becoming insufficient; mechanisms of self-organization of society and the autonomy of citizens are gradually taking shape. A new problem has become not only the rapid aging of society, but also an increase in the number of elderly people requiring constant care in the last years of their lives, since the already existing «closed institutions». Nursing homes are less popular today. The article provides an overview of Russian legislation on long-term care for the elderly, as well as an analysis of the successes and barriers to interaction in organizing care for the state, commercial and non-profit institutions in St. Petersburg. Petersburg is a city of the elderly population and developed social services for the elderly. Therefore, we have the right to conclude that social services in St. Petersburg can be viewed as a promising model for the development of long-term care for the elderly. The purpose of the article is to analyze the peculiarities of interactions between various subjects of the system of long-term care for the elderly that is emerging in St. Petersburg. We are interested in situations when the existing legal norms/regulation/interference in interactions are sufficient for the tasks of care to be solved, and the participants did not suffer. And vice versa, when the existing regulations are insufficient, and either the tasks are not being solved, or the injured party is an elderly person or his family.

Death of the friends and family: experiences of elderly in long-term care institution

2011 ◽  
Vol 6 (1) ◽  
pp. 104
Author(s):  
Patrícia Peres Oliveira ◽  
Priscilla Sete de Carvalho Onofre ◽  
Paula Bertone Norberto
Keyword(s):  
Elderly People ◽  
Long Term Care ◽  
Elderly Care ◽  
Elderly Person ◽  
The Elderly ◽  
Sao Paulo ◽  
São Paulo ◽  
Term Care ◽  
Care Institution

ABSTRACT Objective: to know the feelings of elderly people living in a long term care institution (ILP) with regard to the death of friends and relatives. Methodology: this is a descriptive and exploratory research with a qualitative approach, using the oral history method through two guiding questions: “Have you ever experienced the death of a friend, relative, or even some close colleague living in this institution? “and” How you face this situation?”. The data collection was carried out by means of recorded interviews, with the signing of Free and Informed Consent Term, help between January and March 2010, with twenty elderly people, from both sexes, aged between 72 and 89 years, living in an institution for elderly care in Sao Paulo city, as approved by the Research Ethics Committee of Universidade Paulista under CAAE 5380.0.000.251/09, obtaining a favorable opinion, under the Protocol 715/09. Results: from analyzing the interviews, four thematic focuses emerged: loss due to withdrawal from family relationships, new friendships, the existence after the death of friends and relatives, reflections on the possibility of one’s own death. Conclusions: it was possible to understand that the death of beloved people brings the elderly person closer to her/his own mortality, turning the grieving process more difficult, but separation is much more difficult to be interpreted because it is the loss of living persons. Therefore, it is essential that the health professionals and caregivers give support to the elderly people in their process of facing the suffering experienced. Descriptors: geriatric nursing; death; qualitative research. RESUMO Objetivo: conhecer os sentimentos dos idosos residentes em uma instituição de longa permanência (ILP) em relação à morte de amigos e familiares. Metodologia: trata-se de pesquisa descritiva e exploratória com abordagem qualitativa, utilizando o método da história oral a partir de duas questões norteadoras: “O senhor já vivenciou a morte de algum amigo, parente ou mesmo algum colega mais próximo residente nesta instituição? “e” “Como foi para o senhor enfrentar essa situação?” A coleta de dados foi realizada por meio de entrevistas gravadas, com assinatura de Termo de Consentimento Livre e Esclarecido, realizadas entre janeiro e março de 2010, com vinte idosos, de ambos os sexos, com idade entre 72 anos e 89 anos, residentes em uma instituição para idosos da cidade de São Paulo, conforme aprovação do Comitê de Ética em Pesquisa da Universidade Paulista sob o CAAE n. 5380.0.000.251/09, tendo obtido parecer favorável, sob o Protocolo nº 715/09. Resultados: a partir das análises das entrevistas emergiram quatro focos temáticos: a perda pela separação do convívio familiar, novas amizades, a existência após a morte dos amigos e familiares, reflexões sobre a possibilidade da própria morte. Conclusões: foi possível compreender que a morte de pessoas queridas aproxima o idoso de sua própria mortalidade, dificultando o processo de luto, mas a separação é muito mais difícil de ser interpretada por ser a perda de pessoas vivas. Portanto é fundamental que os profissionais de saúde e cuidadores deem suporte aos idosos em seu processo de enfrentamento do sofrimento vivenciado. Descritores: enfermagem geriátrica; morte; pesquisa qualitativa. RESUMEN Objetivo: conocer los sentimientos de los ancianos residentes en una institución de larga permanencia (ILP) en relación a la muerte de amigos y familiares. Metodología: esta es una investigación descriptiva y exploratoria con abordaje cualitativo, utilizando el método de la  historia oral, desde das preguntas orientadoras: “¿Usted ya vivenció la muerte de algún amigo, pariente o mismo algún colega más cercano residente en esta institución? “e” ¿Cómo fue para usted hacer frente a esa situación?”. La recogida de datos se realizó por medio de entrevistas grabadas, con firma de Término de Consentimiento Libre Y Esclarecido, realizadas entre enero y marzo de 2010, con veinte ancianos, de ambos sexos, con edades entre 72 y 89 años, residentes en una institución para ancianos en la ciudad de São Paulo, conforme aprobación del Comité de Ética en Investigación de la Universidade Paulista bajo el CAAE 5380.0.000.251/09, teniendo obtenido opinión favorable, bajo el Protocolo 715/09. Resultados: desde los análisis de las entrevistas surgieron cuatro focos temáticos: la pérdida por separación del convivio familiar, nuevas amistades, la existencia después de la muerte de amigos y familiares, reflexiones acerca de la posibilidad de la propia muerte. Conclusiones: fue posible comprender que la muerte de personas queridas aproxima el anciano de su propia mortalidad, dificultando el proceso de luto, pero la separación es mucho más difícil de ser interpretada por ser la pérdida de personas vivas. Por lo tanto, es fundamental que los profesionales de la salud y los cuidadores den soporte a los ancianos en su proceso de enfrentamiento del sufrimiento vivenciado. Descriptores: enfermería geriátrica; muerte; investigación cualitativa.

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